employers: staffing request


Please let us know your staffing needs by completing the following information.

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First Name *
Last Name *
Company *
Address *
City *
State *
Zip Code *
Email *   
Phone Number *   
Number of Employees Required *  
Work Hours  
Start Time:
End Time:
Job Title
Length of Assignment
Reports To
General Job Description/Duties *
Pay Rate
Start Date  

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